UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004589
Receipt number R000005477
Scientific Title Phase I radiaition dose escalation study of intensity-modulated radiotherapy with end-exhalation breath-hold technique, combined with full-dose gemcitabine for patients with locally advanced pancreatic cancer.
Date of disclosure of the study information 2010/11/19
Last modified on 2017/02/01 18:58:15

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Phase I radiaition dose escalation study of intensity-modulated radiotherapy with end-exhalation breath-hold technique, combined with full-dose gemcitabine for patients with locally advanced pancreatic cancer.

Acronym

Breath-hold IMRT for pancreatic cancer: radiation dose escalation study

Scientific Title

Phase I radiaition dose escalation study of intensity-modulated radiotherapy with end-exhalation breath-hold technique, combined with full-dose gemcitabine for patients with locally advanced pancreatic cancer.

Scientific Title:Acronym

Breath-hold IMRT for pancreatic cancer: radiation dose escalation study

Region

Japan


Condition

Condition

Pancreatic cancer

Classification by specialty

Hepato-biliary-pancreatic medicine Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To determine the maximum-tolerated radiation dose delivered with intensity-modulated radiotherapy under breath-hold technique at end-exhalation and concurrent full-dose gemcitabine, in patients with unresectable locally advanced pancreatic cancer.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I


Assessment

Primary outcomes

Safety (the incidence of dose limiting toxicity)

Key secondary outcomes

Local control rate, overall survival time, progression-free survival time, completion rate of chemotherapy, incidence of adverse events within 6 months from the start day of treatment, Rate of palliative efficacy (pain relief), rate of CA19-9 regression, The accuracy of the new technique of radiotherapy


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine Maneuver

Interventions/Control_1

Intensity-modulated radiotherapy(IMRT)
Concurrent chemotherapy with Gemcitabine
Induction chemotherapy with Gemcitabine

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

1) Pancreatic cancer proven with pathological or cytological examination with diagnostic imaging.
2) Clinical stage (T3-4, N0, M0) (UICC), unresectable pancreatic cancer (medically inoperable T3 patients are also allowed on to this study
3) Patients have tumors measurable by RECIST criteria
4) Tumor size </= 6cm
5) Np apparent bowel invasion of tumors on CT or endscopic findings
6) Patients' age must be >/=18 and <80 years old. ECOG performance status; 0-1
7) Without history of previous chemotherapy, but patients who have received up to one cycle of single agent gemcitabine remain eligible.
8) Without history of previous abdominal radiation therapy
9) Adequate organ functions;
white blood cells >/= 3000/m3
neutrophil >=2000/m3
platelets >/= 100,000/m3
hemoglobin >/= 10.0g/dl
AST </= 3.0 X ULN
ALT </= 3.0 X ULN
total bilirubin </= 2.0mg/dL
10) Patients must be aware of the investigational nature of therapy and provide written informed consent.

Key exclusion criteria

1) Patients with active double cancer (double cancer with no more than 5-year disease-free period. However, carcinoma in situ judged to be cured by local treatment, or intra-mucosal cancer-equivalent lesion are not to be included in active double cancer).
2) Patients with active bacterial infection requiring treatment.
3) Patients with severe cardiac disease
4) Patients with severe drug allergy history
5) Patients with unstable and uncontrollable diabetic mellitus, hypertension, kidney disease, liver disease.
6) Patients with intersitial pneumonia or pulmonary fibrosis detectable on chest radiography
7) Women during pregnancy or breast-feeding, or patients who wish pregnancy
8) Patients that physicians consider inappropriate for this study.

Target sample size

18


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masahiro Hiraoka

Organization

Kyoto University Hospital

Division name

Therapeutic Radiology

Zip code


Address

54 Shogoin Kawaharacho Sakyo-ku, Kyoto

TEL

075-751-3762

Email



Public contact

Name of contact person

1st name
Middle name
Last name Keiko SHibuya

Organization

Kyoto University Hospital

Division name

Therapeutic Radiology

Zip code


Address

54 Shogoin Kawaharacho Sakyo-ku, Kyoto

TEL

075-751-3762

Homepage URL


Email

kei@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Department of Therapeutic Radiology, Kyoto University Hospital

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labor and Welfare, Grant-in Aid for Cancer Research (20S-5)

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)

Japan Society for the Promotion of Science (JSPS), Grant-in-Aid for Scientific Research (S)


IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

京都大学医学部附属病院


Other administrative information

Date of disclosure of the study information

2010 Year 11 Month 19 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2010 Year 09 Month 08 Day

Date of IRB


Anticipated trial start date

2011 Year 01 Month 01 Day

Last follow-up date

2013 Year 06 Month 01 Day

Date of closure to data entry

2013 Year 12 Month 01 Day

Date trial data considered complete

2013 Year 12 Month 01 Day

Date analysis concluded

2013 Year 12 Month 01 Day


Other

Other related information



Management information

Registered date

2010 Year 11 Month 19 Day

Last modified on

2017 Year 02 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005477


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name